because medicare sets the standards for this stuff. >> right. but the real question. >> you think this is going to change that? >> well, i think there's no question it will. 25 states across the country including delaware right now are working on how do you get away from fee for service? instead of paying hospitals based on how many beds they fill up. when do we pay based on when they keep people well at a reasonable value? one thing were the innovation grants. oregon has done, arkansas's doing, lots of states across the country are doing good work. >> what is delaware doing in that vein? >> we have to submit our plans to the fed by the end of the year, we will do that, but we have had the doctors, the hospitals, the businesses at the table trying to figure out how we're going to get this done. there are so many buzz words thrown around. affordable care organizations, personal medical homes and within all of that, actually we believe there is -- >> i agree with you 100% the fee for service is a huge part of the problem and a huge part of the was